Provider Demographics
NPI:1134003676
Name:MARQUEZ MORENO, GREYS
Entity type:Individual
Prefix:
First Name:GREYS
Middle Name:
Last Name:MARQUEZ MORENO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 COLLINA TER APT 5207
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-7259
Mailing Address - Country:US
Mailing Address - Phone:954-477-0598
Mailing Address - Fax:
Practice Address - Street 1:5000 COLLINA TER APT 5207
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-7259
Practice Address - Country:US
Practice Address - Phone:954-477-0598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator